| NPI | 1134507478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD464840) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MT208238) |
| Enumeration Date | 2015-05-07 |
| Last Update Date | 2020-08-30 |